Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kathy Ravanbakhsh, DO

Individual provider Urology Physician · NPI 1790739167

Dr. Kathy Ravanbakhsh, DO is an Urology in Bryan, Texas. Qualified in 1998, 28 years ago. Practices with St Joseph Regional Health Center, a 140-clinician group and accepts Medicare assignment. Licensed in Illinois and Texas.

Years since qualifying
28
Licensed in
IL, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2700 E 29th St Ste 100
Bryan, TX 77802-2507
Phone: (979) 774-3041
Fax: (979) 774-3053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence M8941 (TX)
Urology Physician Taxonomy 208800000X · Licence 036-110986 (IL)

Record details

NPI number1790739167
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 20, 2006
Last updated in NPPESDecember 3, 2012
Mailing address2700 E 29th St Ste 100, Bryan, TX 77802-2507

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice St Joseph Regional Health Center — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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